Links

Tools

Export citation

Search in Google Scholar

Why Calls for More Routine Carotid Stenting Are Currently Inappropriate

Journal article published in 2013 by Anne L. Abbott, Mark A. Adelman, Andrei V. Alexandrov ORCID, P. Alan Barber, Henry J. M. Barnett, Jonathan Beard, Peter Bell, Martin Björck, David Blacker, Leo H. Bonati, Martin M. Brown, Clifford J. Buckley, Richard P. Cambria, John E. Castaldo, Anthony J. Comerota and other authors.
This paper is available in a repository.
This paper is available in a repository.

Full text: Download

Question mark in circle
Preprint: policy unknown
Upload
Question mark in circle
Postprint: policy unknown
Upload
Question mark in circle
Published version: policy unknown
Upload

Abstract

To avoid misguidance from calls for more routine practice (nontrial) carotid angioplasty/stenting (CAS), we need to distinguish relevant facts and patients’ best interests from all else (distractions). A recent editorial by White and Jaff is one publication which illustrates this need particularly well. First, these authors are correct in reminding us that the responsibility of physicians is to provide best patient care, putting aside personal interest. This is inherent in any profession. However, misconception, bias, and conflict of interest exist. Therefore, healthcare payment organizations, such as the US Center for Medicare and Medicaid Services are important gatekeepers to facilitate patient access to interventions that are likely to help them, as opposed to all others.